At the AOSSM Annual Meeting the 10 year outcomes for the MOON Group were presented by Kurt Spindler MD. The study won the AOSSM O'Donoghue Award for best clinical study for 2017. The MOON Group is a 7 site study focusing on primary ACL reconstructions.
Findings in this study of 1592 ACL reconstructions with 83% follow up showed several factors impacting the IKDC and KOOS Sports and Recreation and KOOS Quality of Life with worse scores. These included: Grade 3 and 4 cartilage wear in any compartment, previous medial meniscectomy, revision ACL reconstruction, higher BMI, smoking, reoperation or subsequent surgery and lower baseline scores. Factors not predicting worse scores included surgeon, medial and lateral meniscus surgery, sport played, graft chosen, MCL or LCL injury or higher laxity.
Factors that predicted worse Marx score can be seen in this slide. These findings can be used to better predict outcome and counsel patients as to expectations for ACL reconstruction.
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